Centre for Education and Research on Ageing, Concord Clinical School and Sydney Local Health District, Concord Repatriation General Hospital, Concord, New South Wales, Australia.
School of Public Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
Aust Dent J. 2018 Mar;63(1):55-65. doi: 10.1111/adj.12564. Epub 2017 Oct 30.
The Concord Health and Ageing in Men Project (CHAMP) is a cohort study of the health of a representative sample of Australian men aged 70 years and older. The aim of this report is to describe the oral health of these men.
Oral health was assessed when the men were all aged 78 years or older. Two calibrated examiners conducted a standardized intraoral assessment. Descriptive data were analysed by statistical association tests. Participants were excluded from the collection of some periodontal assessments if they had a medical contraindication.
Dental assessments of 614 participants revealed 90 (14.6%) were edentate. Men had a mean of 13.8 missing teeth and 10.3 filled teeth. Dentate participants had a mean of 1.1 teeth with active coronal decay. Those in the low-income group had a higher rate of decayed teeth and lower rate of filled teeth. Thirty-four participants (5.5%) had one or more dental implants, and 66.3% relied on substitute natural teeth for functional occlusion. Of those with full periodontal assessments; 90.9% had sites with pocket depths of 3 mm or more, 96.6% had sites with CAL of 5 mm or more, and 79.7% had three or more sites with GI scores of 2 or more.
There was a high prevalence of periodontal diseases and restorative burden of dentitions, which suggests that greater attention needs to be given to prevention and health maintenance in older Australian men.
《康科德健康与衰老男性项目》（CHAMP）是一项对 70 岁及以上澳大利亚男性健康的代表性样本的队列研究。本报告的目的是描述这些男性的口腔健康状况。
在男性均年满 78 岁时进行口腔健康评估。两名经过校准的检查人员进行了标准化的口腔内评估。通过统计关联测试分析描述性数据。如果参与者有医学禁忌症，则排除一些牙周评估的收集。
对 614 名参与者的牙科评估显示，90 人（14.6%）无牙。男性平均缺失 13.8 颗牙齿，填充 10.3 颗牙齿。有牙参与者平均有 1.1 颗有活跃冠部龋的牙齿。收入较低组的龋齿率较高，补牙率较低。34 名参与者（5.5%）有一个或多个牙种植体，66.3%依靠替代天然牙齿进行功能咬合。在接受完整牙周评估的参与者中；90.9%的部位有 3mm 或以上的牙周袋深度，96.6%的部位有 5mm 或以上的 CAL，79.7%的部位有三个或更多部位的 GI 评分达到 2 或更高。
牙周病和牙列修复负担的患病率很高，这表明需要更加关注澳大利亚老年男性的预防和健康维护。
